MRS. KIMBERLY NICOLE BAGWELL (PA-C) – Physician Assistant, NPI 1568613644
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 PHYSICIAN ASSISTANT in AL
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Provider Addresses for MRS. KIMBERLY NICOLE BAGWELL (PA-C)
927, Franklin Street Southeast, Medical District, Longwood, Huntsville, Madison County, Alabama, 35801, United States
HUNTSVILLE, AL 358014306
Phone: (256) 539-2728
Fax: (256) 539-2728
Type: Location
927 Franklin St SE
Huntsville, AL 358014306
Phone: (256) 539-2728
Fax: (256) 539-2728
Type: Location
500 UPPER CHESAPEAKE DR
BEL AIR, MD 210144324
Phone: (443) 643-1500
Fax: (443) 643-1505
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2023-12-04 • Largest payer in this snapshot: Medtronic, Inc. ($121).
Total Amount
$121
General + Research + Ownership
Payments
1
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $121 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-03-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171226000514 | I | Physician Assistant | DC | TBD |
| I20220323003051 | I | Physician Assistant | MD | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90970 | Dialysis services, per day, less than full month service (20 years or older) | 37 | 12 | $0 |
Insurance plans in this area (ZIP 35801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | MD | |
| N E P H R O L O G Y | MD | |
| Nephrology, Internal Medicine | MD | |
| Nurse Practitioner | MD | |
| N E P H R O L O G Y | LA | |
| Nurse Practitioner | MD | |
| N E P H R O L O G Y | MD | |
| Physician Assistant | MD | |
| N E P H R O L O G Y | MD | |
| Nurse Practitioner | MD |
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